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HCCA - CHPC Exam Study Questions with 100% Correct Answers | Verified | Latest Update
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HCCA - CHPC Exam Study Questionswith 100% Correct Answers | Verified |
Latest Update
WhatiisitheipurposeiofiHIPAA?i-iCorrectiAnswer-
•iProtectiPHIifromiunauthorizedidisclosure/use;
•iPreventifraud,iwasteiandiabusei(viaiAdministrativeiSimplification);
•iMakeihealthiinsuranceiportableiunderiERISA;
•iMoveihealthicareiontoiainationallyistandardizedielectronicibillingiplatf
orm
Ref.ihttps://quizlet.com/6202453/hcca-chpc-overview-flash-cards/
MoreioniHIPAA:ihttps://www.hhs.gov/hipaa/index.html
HIPAAiresidesiiniwhichiCFRisection?i-iCorrectiAnswer-
45iCFRisectionsi164.102ithroughi164.534
https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-
164
WhatiareitheisubpartsiofiHIPAAiparti164?i-iCorrectiAnswer-HIPAAi-
i45iCFRi164,isubparts:
SubpartiAi-iGeneralirules
,SubpartiCi-iSecurity
SubpartiDi-iBreachinotification
SubpartiEi-iPrivacy
https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-
164
Howidoiyouidetermineiifianiorganizationiisiai"CoverediEntity"?i-
iCorrectiAnswer-
1.icompareiifitheiorganizationimeetsioneiofithei3itypesiofiCEi(provider,ih
ealthiplan,iclearinghouse)
and
2.idetermineiifitheiorganizationielectronicallyitransmitsioneiofithei9idefi
neditransactions:
•iHealthiclaimsioriequivalentiencounteriinformation
•iHealthiclaimsiattachments
•iEnrollmentiandidisenrollmentiiniaihealthiplan
•iEligibilityiforiaihealthiplan
•iHealthicareipaymentiandiremittanceiadvice
•iHealthiplanipremiumipayments
•iFirstireportiofiinjury
•iHealthiclaimistatus
•iReferralicertificationiandiauthorization
,Iniaddition,ibusinessiassociatesioficoveredientitiesimustifollowipartsiofit
heiHIPAAiregulations.
https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-
consumers/index.html
ThisiActiestablishediini1974iwasicreatediforigovernmentiagenciesiplacin
girestrictionsionihowitheigovernmenticanishareitheiinformationimaintai
nediiniFederalisystemsiofirecordsithatimightiinfringeionianiindividual'sip
rivacyirightsiwithiotheriindividualsiandiagencies.i-iCorrectiAnswer-
TheiPrivacyiActiofi1974
WhichiofitheifollowingiisinoticonsiderediaiHIPAAiEntityiDesignation:
1.iAffiliatedicoveredientity
2.iEntityithatiperformsihealthcareiandinon-
healthcareicomponentiactivitiesiincludingibothicoverediandinon-
coveredifunctions
3.iAigroupihealthiplan
4.iContractiarrangementiwithiFEDEXicarrieri-iCorrectiAnswer-
4.iContractiarrangementiwithiFEDEXicarrier
WhatiisiGramm-Leach-BlileyiActi(GLBA)?i-iCorrectiAnswer-Gramm-
Leach-
BlileyiActi(GLBA),ialsoiknowniasitheiFinancialiServicesiModernizationiAc
tiofi1999,iincludesiTheiFinancialiPrivacyiRuleiandiTheiSafeguardsiRuleire
, quiresiallifinancialiinstitutionsitoiprotecticustomer'sipersonalifinancialii
nformation.
WhatiisianiOHCA?i-iCorrectiAnswer-
OHCAi(OrganizediHealthiCareiArrangement)iit'siaiclinicallyiintegratedica
reisettingiwhereiindividualsireceiveihealthicareifromimoreithanioneipro
vider.i
Theseiareijointiarrangements/activitiesiandihaveianiIntegratediDeliveryi
SystemiforieasyiexchangeiofiPHIidata.iSeei45iCFRi160.103.iOHCAsicanials
oiutilizeiaijointiNPP.iSeei45iCFRi§i164.520(d).
ACEi(AffiliatediCoverediEntity)idoinotihaveianiIntegratediDeliveryiSyste
mibecauseitheseiareilegallyiseparateicoveredientitiesithatiareiassociate
diinibusiness,ioriaffiliatediasiairesultiofisomeicommonicontrolioriowners
hip.
BothitheiOHCAianditheiACEiwouldiallowisharingiofiPHIiacrossiparticipati
ngientityilinesiforitreatment,ipayment,ioperationsipurposesi(TPO).
What'sianiACE?i-iCorrectiAnswer-ACEi(AffiliatediCoverediEntity)
Legallyiseparateicoveredientitiesithatishareicommonicontrol/ownershi
piandidesignateithemselvesiasiaisingleiCEiforitheipurposeioficomplyingiw
ithitheiHIPAAiPrivacyistandards.
ACEsidoinotihaveianiIntegratediDeliveryiSystem,iwhileiOHCAido,iandican
ishareiaisingleiNPP.iSeei45iCFRi§i164.520(d)
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